Provider Connection

Rising Medical Solutions/ECHO/Crefuns

It has been nine months since Rising Medical Solutions (RMS) started reviewing and processing bills for Montana State Fund (MSF).  While we are off to a good start, the following are some of the most common calls we are fielding here at MSF:

  1. Bill Status – when calling for bill or reconsideration request status you can contact RMS at 800-274-7464. Their Customer Success staff will be able to help you with questions regarding bill status, reconsideration request status and payment information.
  2. Check status – MSF is unable to answer any questions regarding check status. Please call RMS for any questions related check or virtual card status.
  3. Crefunds – When a recovery is done on a bill where a payment had previously been made, it will result in an automatic “crefund” from the next payment made. If RMS is unable to recover an overpayment through a crefund, you will be notified of the overpayment and instructed where to send the payment.
  4. ECHO – RMS has contracted with ECHO to process payments after the bill review process. Payments are made via Virtual Card.  If you are unable to accept payments via Virtual Card or prefer to receive an actual check, you will need to contact ECHO at 877-705-4230 and ask to “Opt out permanently”.  They will then make that change for you.
  5. Frequently Asked Questions – are currently being updated with current information and will be available at:
back to Provider Connection

Bill Status – 1-866-274-7464

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

RMS (Bill Status)
Phone  866-274-7464

For questions about information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team.
For questions about Advanced Nurse Review contact Kym Vonada at 406-495-5389.

Medical Team

Michele Fairclough
Medical Team Leader

Justin Kennedy
Nurse Manager

Shannon Hadley
Provider Relations Specialist

Kym Vonada
Medical Auditor

Annalyn Stewart
Medical Payment Auditor

Sheryl Semans
Pharmacy Liaison

Susan Bomar
Medical Payment Auditor

Cindy Gallus
Medical Customer Service Liaison

Sherri Sprenger
Medical Customer Service Liaison

Shannon Mergenthaler
Medical Customer Service Liaison

Maggie Pentecost
Medical Customer Service Liaison

Jamie Statton
Medical Customer Service Liaison

Website Information

Montana State Fund

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)